scholarly journals Predictors of aggression in 3.322 patients with affective disorders and schizophrenia spectrum disorders evaluated in an emergency department setting

2018 ◽  
Vol 195 ◽  
pp. 136-141 ◽  
Author(s):  
Emily A. Blanco ◽  
Laura M. Duque ◽  
Vivekananda Rachamallu ◽  
Eunice Yuen ◽  
John M. Kane ◽  
...  
Keyword(s):  
Emergency Department ◽  
Affective Disorders ◽  
Schizophrenia Spectrum Disorders ◽  
Emergency Department Setting ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

scholarly journals Trends in consultations for schizophrenia and non-affective psychoses in Italian emergency departments during and after the 2020 COVID-19 lockdown

2021 ◽  
Author(s):  
Matteo Balestrieri ◽  
Paola Rucci ◽  
Davide Amendola ◽  
Miki Bonizzoni ◽  
Giancarlo Cerveri ◽  
...  
Keyword(s):  
Emergency Department ◽  
Suicidal Ideation ◽  
Psychiatric Disorders ◽  
Hospital Emergency Department ◽  
Schizophrenia Spectrum Disorders ◽  
Hospital Emergency ◽  
Consultation Rate ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders ◽  
Sedative Agents

Abstract Aims To analyse the hospital emergency department (HED) consultations for schizophrenia-spectrum disorders in nine Italian hospitals during the 2020 lockdown and post-lockdown periods, compared to the equivalent periods in 2019. Methods Characteristics of consultations, patients, and drug prescriptions were analysed. Joinpoint models were used to identify changes in the weekly trend of consultations. Results During the 2020 lockdown the overall number of HED consultations for schizophrenia decreased by 40.7% and after the lockdown by 12.2% compared with 2019. No difference was found in the proportion of consultations that led to GHPU admissions or compulsory admissions. Suicidality rates did not differ across the two years, with the exception of ideations and plans (+5.9%) during the post-lockdown period. We found an increase in benzodiazepine prescriptions in 2020 during the lockdown and post-lockdown periods (+10.6% and +20.8%, respectively), and a decrease of prescriptions for short-acting sedative agents in the post-lockdown period (-7.9%). An increase in the weekly trend of consultations occurred from March 11-17 (week 11) to June 26-June 30 (week 26). As a result, the initial gap in the number of consultations between the two years cancelled out at the end of June. Conclusions HED consultation rate for schizophrenia-spectrum disorders declined consistent with that of other psychiatric disorders. In the post-lockdown period the growth of suicidal ideation/planning and increase in the prescriptions of anxiolytic-sedating drugs may foreshadow that for some schizophrenia patients the exit from the lockdown period is not liberating, but rather a source of agitation or perturbation.

scholarly journals Predictors of suicide attempts in 3.322 patients with affective disorders and schizophrenia spectrum disorders

2015 ◽  
Vol 228 (3) ◽  
pp. 791-796 ◽  
Author(s):  
Juan A. Gallego ◽  
Vivekananda Rachamallu ◽  
Eunice Y. Yuen ◽  
Sabina Fink ◽  
Laura M. Duque ◽  
...  
Keyword(s):  
Affective Disorders ◽  
Suicide Attempts ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders

Cultural diversity in physical diseases among patients with mental illnesses

2012 ◽  
Vol 47 (3) ◽  
pp. 250-258 ◽  
Author(s):  
Jens I Larsen ◽  
Ulla A Andersen ◽  
Thomas Becker ◽  
Graziella G Bickel ◽  
Bernhard Bork ◽  
...  
Keyword(s):  
Affective Disorders ◽  
Western Europe ◽  
Mental Illnesses ◽  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Increased Risk ◽  
Icd 10 ◽  
Physical Diseases ◽  
Spectrum Disorders ◽  
Lifestyle Diseases

Objective: People with psychiatric diseases have a severely increased risk for physical morbidity and premature death from physical diseases. The aims of the study were to investigate the occurrence of cardiovascular diseases (CVD), diabetes (DM) and obesity in schizophrenia and depression in three different geographical areas – Asia (Japan), Africa (Nigeria) and Western Europe (Switzerland, Germany and Denmark) – and to search for possible transcultural differences in these correlations, which would also reflect the differences between low-income areas in Africa (Nigeria) and high-income areas in Europe and Japan. Method: Patients with International Classification of Diseases (ICD-10) F2 diseases (schizophrenia spectrum disorders) and F3 diseases (affective disorders) admitted to one Nigerian, one Japanese, two Swiss, two German and six Danish centres during 1 year were included. Physical diseases in accordance with ICD-10 were also registered. Psychiatric and physical comorbidity were calculated and standardized rate ratio incidences of background populations were our primary measures. Results: Incidence rate ratios were increased for both CVD, DM and overweight in both F2 and F3 in all cultures (Western Europe, Nigeria and Japan) within the same ranges (however, the Japanese results should be interpreted conservatively owing to the limited sample size). Overweight among the mentally ill were marked in Nigeria. A parallelism of the incidence of overweight, CVD and diabetes with the occurrence in background populations was seen and was most marked in overweight. Conclusions: Overweight, CVD and DM were increased in schizophrenia spectrum disorders and affective disorders in all three cultures investigated (Western Europe, Nigeria and Japan). Lifestyle diseases were also seen in Nigeria and Japan. The results from this study indicate that cultural background might be seen as an important factor in dealing with lifestyle diseases among people with a severe mental illness, as it is in the general population.

Screening Adolescents for Schizophrenia-Spectrum Disorders

2000 ◽  
Author(s):  
B. Cornblatt ◽  
M. Obuchowski ◽  
S. Roberts ◽  
S. Pollack ◽  
L. Erienmeyer-Kimling
Keyword(s):  
Schizophrenia Spectrum Disorders ◽  
Schizophrenia Spectrum ◽  
Spectrum Disorders
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